ContractCounty Program Agreement Dda County Services DSHS Agreement • June 21st, 2023
Contract Type FiledJune 21st, 2023COUNTYPROGRAM AGREEMENTDDA County Services DSHS Agreement Number 2363-48919 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Developmental Disabilities Admin DSHS DIVISION Division of Developmental Disabilities DSHS INDEX NUMBER 1227 DSHS CONTRACT CODE 1769CS-63 DSHS CONTACT NAME AND TITLE Wendi WinchelRegional Business Manager DSHS CONTACT ADDRESS PO BOX 45315Olympia, WA 98504-5315 DSHS CONTACT TELEPHONE(360) 725-4264 DSHS CONTACT FAX(360) 586-6502 DSHS CONTACT E-MAILwinchwa@dshs.wa.gov COUNTY NAME Lewis CountyLewis County DDA County Services COUNTY ADDRESS 360 NW North St Chehalis, WA 98532 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME Sara Sons COUNTY C